Wk Palmetto Family Practice

NPI #1588270581 in Benton, Louisiana

Provider Information

NPI Number
1588270581
Entity Type
Organization
Organization Name
Wk Palmetto Family Practice
Primary Specialty
Family Medicine
Enumeration Date
Sep 16, 2020
Last Updated
Aug 12, 2021

Practice Location

Address
1001 LACKLAND BLVD STE 120
City
Benton
ZIP Code
71006-2505
Phone
(318) 935-1522

Authorized Official

Name
MARY JANE WARD
Title
SENIOR VP FINANCE
Phone
(318) 212-8299

Specialties & Taxonomy Codes

Specialty
Family Medicine

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